Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
Hormone-aware psychiatric prescribing
Polypharmacy is treated as a risk to be justified, not a badge of complexity.
Clinical scope of Medication Management in Broward County
Genetic testing (pharmacogenomics) may change CYP2D6/2C19 probabilities. It is not a personality test.
Refill-only care is not offered. If you need only a refill, you still need a monitoring interval.
How Fort Lauderdale patients actually get here
Fort Lauderdale (Broward County) has about 183,000 residents. The nearest Peace & Heart Wellness exam room is the Hollywood office, about 20 minutes from Las Olas, Port Everglades, and the downtown medical district.
Commute noise on I-95 and the Turnpike changes whether an in-office Medication Management visit is realistic this week. Telehealth is used when the clinical exam does not require the office.
Decide: continue, adjust, switch, or taper — one primary change when possible.
Counsel on onset, alcohol, driving, pregnancy, and overdose risk.
Questions we hear about Medication Management
Can medication management be telehealth?
Yes if you are in Florida and the case is appropriate. Controlled-substance rules still apply.
Do you monitor antipsychotics?
Weight, A1c, lipids, and neurologic side effects are part of the protocol.
Can you prescribe if I am traveling?
Only if you are physically in a state where we are licensed — currently Florida telehealth.
Do you treat insomnia with medication only?
No. We look for apnea, circadian issues, alcohol, and psychiatric drivers.
Can you help me taper?
Yes. Tapers are scheduled by drug class. Do not stop MAOIs, benzos, or paroxetine abruptly on your own.
What labs do I need?
Depends on the drug: TSH, lithium level, A1c, etc. We will list them in the plan.
Do you serve downtown Fort Lauderdale?
Yes. Our Hollywood office is about 20 minutes from downtown Fort Lauderdale, and we offer telehealth appointments for busy downtown professionals.
Can you help with work-related anxiety and burnout?
Absolutely. We see many Fort Lauderdale professionals dealing with workplace stress, burnout, and performance anxiety. Our evaluations identify root causes and create targeted treatment plans.
How Medication Management is structured
Set the next visit before the bottle runs out.
Check labs due for the current class.
Telehealth visits verify Florida location.
Confirm the target symptom and the diagnosis it belongs to.
Monitoring and safety in Medication Management
New antidepressant: short-interval follow-up for activation and SI.
Clozapine: ANC monitoring — we refer if we cannot meet the REMS cadence.
Lithium: level, TSH, creatinine, pregnancy test as indicated.
MAOI diet and washout rules if that class is ever used.
Indications and differentials
Polypharmacy review when the list exceeds what the diagnosis can justify.
med side effects help still has to map to a problem on the list.
Hypnotics only after sleep differential, not as a standing nightcap.
Not indicated as a replacement for inpatient care when risk is high.
Next step
After Medication Management is scheduled, complete intake forms once. Repeating the same history at every visit is what we are trying to avoid.
If you already have records from another psychiatrist, NP, or therapist, send them before Medication Management so the interview can start from data instead of from a blank page.
Related care
Clinician: Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC, Psychiatric Mental Health Nurse Practitioner. Last medical review: 2026-09-21.
Florida telehealth psychiatry is available to established and new patients located in Florida at the time of the visit, subject to licensure and clinical appropriateness. An in-person evaluation at the Hollywood office may be recommended when a physical exam, vital signs, or a more complete diagnostic interview is needed.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. It does not establish a provider-patient relationship. Always seek care from a qualified clinician for questions about a medical or psychiatric condition. If you are in crisis, call 988 or go to the nearest emergency department.